Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build

Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: HCIM FreedomRestrictingMeasures

Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures Version: 1.3.15
Active as of 2024-04-09 Computable Name: Zib FreedomRestrictingMeasures

Copyright/Legal: CC0

Freedom restricting measures are (physical or verbal) measures used to deliberately restrict the freedom of the patient in question. Many forms of freedom restricting measures fall under this definition, including but not limited to: involuntary treatment (e.g. forced medication) physical restraints (side rails fully up) physical fixation (arm restraints in order to prevent removal of drip) electronic surveillance to monitor the whereabouts of the patient. In hospitals, these often include the use of side rails, a cushion belt (around the waist) or a Posey bed. Often sedatives are administered in combination with the freedom restricting measures. For small children it often involves fixation of e.g. hands to prevent the extraction of a nasogastric tube. The Vereniging Verpleegkundigen & Verzorgenden Nederland (V&VN) [Dutch Nurses and Carers Association] published a set of guidelines for nurses to implement these restraints in hospitals. The ‘Wet BOPZ’ [Dutch Psychiatric Hospitals (Compulsory Admissions) Act] protects the rights of clients who are involuntarily admitted into mental healthcare, services for the disabled and in geriatric psychiatry. The act only applies to ‘BOPZ’-marked facilities and also applies to some (closed) wards in nursing homes. Mental healthcare facilities use a national registration system to register the restraints called Argus registration. Permission of the patient or his/hers legal representative is required before starting freedom restricting measures. The patient’s high-risk behavior providing cause for the restraints is not described in this concept.

Implementing medical restraints is risky and can result in damage to the patient if they are not carefully implemented. Nurses fulfil an important role in identifying risks, observing the effect of the restraints and any changes to the policy in terms of medical restraints. Recording all information on the measures is of major importance for insight into decision-making, implementing, monitoring and evaluating the measures. In the event of a transfer to the next facility, the proper preparations can be taken to safely continue the care and to limit the risks to the patient and their environment.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure Procedure
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... legalStatus 0..2 (Complex) LegalStatus
URL: http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus
.... valueCodeableConcept:valueCodeableConcept 1..1 CodeableConcept LegalStatus
Binding: JuridischeStatusCodelijst (extensible)
..... coding 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
... legallyCapable 0..1 (Complex) LegallyCapable
URL: http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-LegallyCapable
.... extension:LegallyCapableIndicator 1..1 Extension LegallyCapableIndicator
.... extension:LegallyCapableComment 0..1 Extension Extension
.... valueCodeableConcept:valueCodeableConcept 1..1 CodeableConcept Permission
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
...... coding:ArgusPermissionCode 0..1 Coding Code defined by a terminology system
Binding: ArgusInstemmingCodelijst (extensible): ArgusInstemmingCodelijst

....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
...... coding:permissionCode 0..1 Coding Code defined by a terminology system
Binding: ToestemmingCodelijst (extensible): ToestemmingCodelijst

....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
... identifier 0..* Identifier External Identifiers for this procedure
... category 1..1 CodeableConcept Classification of the procedure
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:freedomRestrictingMeasuresCode 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 225214000
...... display 0..1 string Representation defined by the system
... code 1..1 CodeableConcept Identification of the procedure
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:typeOfInterventionCode 0..1 Coding Code defined by a terminology system
Binding: SoortInterventieCodelijst (extensible): TypeOfInterventionCodelist

...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
..... coding:argusTypeOfInterventionCode 0..1 Coding Code defined by a terminology system
Binding: ArgusInterventieCodelijst (extensible): ArgusTypeOfInterventionCodelist

...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
... subject 1..1 Reference(Group | nl-core-patient) Who the procedure was performed on
... performedPeriod:performedPeriod 0..1 Period Date/Period the procedure was performed
.... start 0..1 dateTime StartEpisode
.... end 0..1 dateTime EndOfEpisode

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.extension:legalStatus.valueCodeableConcept:valueCodeableConceptextensibleJuridischeStatusCodelijst
Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding:ArgusPermissionCodeextensibleArgusInstemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5--20171231000000
from this IG
Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding:permissionCodeextensibleToestemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1--20171231000000
from this IG
Procedure.code.coding:typeOfInterventionCodeextensibleSoortInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3--20171231000000
from this IG
Procedure.code.coding:argusTypeOfInterventionCodeextensibleArgusInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4--20171231000000
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure C 0..* Procedure Procedure
pro-1: Reason not done is only permitted if notDone indicator is true
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... legalStatus 0..2 (Complex) LegalStatus
URL: http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus"
.... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 1..1 CodeableConcept LegalStatus
Binding: JuridischeStatusCodelijst (extensible)
...... coding Σ 1..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:LegallyCapableIndicator 1..1 Extension LegallyCapableIndicator
..... url 1..1 uri "LegallyCapableIndicator"
..... Slices for value[x] 0..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean 0..1 boolean LegallyCapable
.... extension:LegallyCapableComment 0..1 Extension Extension
..... url 1..1 uri "LegallyCapableComment"
..... Slices for value[x] 0..1 string Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueString 0..1 string LegallyCapableComment
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-LegallyCapable"
... permission 0..1 (Complex) Permission
URL: http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-Permission
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-Permission"
.... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 1..1 CodeableConcept Permission
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:ArgusPermissionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ArgusInstemmingCodelijst (extensible): ArgusInstemmingCodelijst


........ system Σ 1..1 uri Identity of the terminology system
........ code Σ 1..1 code Symbol in syntax defined by the system
....... coding:permissionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ToestemmingCodelijst (extensible): ToestemmingCodelijst


........ system Σ 1..1 uri Identity of the terminology system
........ code Σ 1..1 code Symbol in syntax defined by the system
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this procedure
... status ?!Σ 1..1 code preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... notDone ?!Σ 0..1 boolean True if procedure was not performed as scheduled
... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.

.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:freedomRestrictingMeasuresCode Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 225214000
...... display Σ 0..1 string Representation defined by the system
... code Σ 1..1 CodeableConcept Identification of the procedure
Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .

.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:typeOfInterventionCode Σ 0..1 Coding Code defined by a terminology system
Binding: SoortInterventieCodelijst (extensible): TypeOfInterventionCodelist


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:argusTypeOfInterventionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ArgusInterventieCodelijst (extensible): ArgusTypeOfInterventionCodelist


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
... subject Σ 1..1 Reference(Group | nl-core-patient) Who the procedure was performed on
... Slices for performed[x] Σ 0..1 Period Date/Period the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod Σ 0..1 Period Date/Period the procedure was performed

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.extension:legalStatus.value[x]:valueCodeableConceptextensibleJuridischeStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000
from this IG
Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCodeextensibleArgusInstemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5--20171231000000
from this IG
Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCodeextensibleToestemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1--20171231000000
from this IG
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status
from the FHIR Standard
Procedure.categoryexampleProcedure Category Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedure Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:typeOfInterventionCodeextensibleSoortInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3--20171231000000
from this IG
Procedure.code.coding:argusTypeOfInterventionCodeextensibleArgusInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4--20171231000000
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorProcedureIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorProcedureIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
pro-1errorProcedureReason not done is only permitted if notDone indicator is true
: notDoneReason.empty() or notDone = true
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure C 0..* Procedure Procedure
pro-1: Reason not done is only permitted if notDone indicator is true
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: Common Languages (extensible): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... legalStatus 0..2 (Complex) LegalStatus
URL: http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus"
.... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 1..1 CodeableConcept LegalStatus
Binding: JuridischeStatusCodelijst (extensible)
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
....... id 0..1 string xml:id (or equivalent in JSON)
....... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
... legallyCapable 0..1 (Complex) LegallyCapable
URL: http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-LegallyCapable
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:LegallyCapableIndicator 1..1 Extension LegallyCapableIndicator
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "LegallyCapableIndicator"
..... Slices for value[x] 0..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean 0..1 boolean LegallyCapable
.... extension:LegallyCapableComment 0..1 Extension Extension
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "LegallyCapableComment"
..... Slices for value[x] 0..1 string Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueString 0..1 string LegallyCapableComment
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-LegallyCapable"
... permission 0..1 (Complex) Permission
URL: http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-Permission
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-Permission"
.... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 1..1 CodeableConcept Permission
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:ArgusPermissionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ArgusInstemmingCodelijst (extensible): ArgusInstemmingCodelijst


........ id 0..1 string xml:id (or equivalent in JSON)
........ extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:permissionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ToestemmingCodelijst (extensible): ToestemmingCodelijst


........ id 0..1 string xml:id (or equivalent in JSON)
........ extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this procedure
... definition Σ 0..* Reference(PlanDefinition | ActivityDefinition | HealthcareService) Instantiates protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ProcedureRequest | ReferralRequest) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!Σ 1..1 code preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... notDone ?!Σ 0..1 boolean True if procedure was not performed as scheduled
... notDoneReason ΣC 0..1 CodeableConcept Reason procedure was not performed
Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.

.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:freedomRestrictingMeasuresCode Σ 1..1 Coding Code defined by a terminology system
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 225214000
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Identification of the procedure
Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .

.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:typeOfInterventionCode Σ 0..1 Coding Code defined by a terminology system
Binding: SoortInterventieCodelijst (extensible): TypeOfInterventionCodelist


...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:argusTypeOfInterventionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ArgusInterventieCodelijst (extensible): ArgusTypeOfInterventionCodelist


...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | nl-core-patient) Who the procedure was performed on
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter or episode associated with the procedure
... Slices for performed[x] Σ 0..1 Period Date/Period the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod Σ 0..1 Period Date/Period the procedure was performed
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime StartEpisode
..... end ΣC 0..1 dateTime EndOfEpisode
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... role Σ 0..1 CodeableConcept The role the actor was in
Binding: Procedure Performer Role Codes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ 1..1 Reference(Practitioner | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... reasonCode Σ 0..* CodeableConcept Coded reason procedure performed
Binding: Procedure Reason Codes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ 0..* Reference(Condition | Observation) Condition that is the reason the procedure performed
... bodySite Σ 0..* CodeableConcept Target body sites
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.


... outcome Σ 0..1 CodeableConcept The result of procedure
Binding: Procedure Outcome Codes (SNOMED CT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... report 0..* Reference(DiagnosticReport) Any report resulting from the procedure
... complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/Diagnosis Codes (example): Codes describing complications that resulted from a procedure.


... complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
... followUp 0..* CodeableConcept Instructions for follow up
Binding: Procedure Follow up Codes (SNOMED CT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..* Annotation Additional information about the procedure
... focalDevice 0..* BackboneElement Device changed in procedure
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... action 0..1 CodeableConcept Kind of change to device
Binding: Procedure Device Action Codes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1 Reference(Device) Device that was changed
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIR Device Types (example): Codes describing items used during a procedure



doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Procedure.extension:legalStatus.value[x]:valueCodeableConceptextensibleJuridischeStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000
from this IG
Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCodeextensibleArgusInstemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5--20171231000000
from this IG
Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCodeextensibleToestemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1--20171231000000
from this IG
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status
from the FHIR Standard
Procedure.notDoneReasonexampleProcedure Not Performed Reason (SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryexampleProcedure Category Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedure Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:typeOfInterventionCodeextensibleSoortInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3--20171231000000
from this IG
Procedure.code.coding:argusTypeOfInterventionCodeextensibleArgusInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4--20171231000000
from this IG
Procedure.performer.roleexampleProcedure Performer Role Codes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeexampleProcedure Reason Codes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteexampleSNOMED CT Body Structures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeexampleProcedure Outcome Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationexampleCondition/Problem/Diagnosis Codes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpexampleProcedure Follow up Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedure Device Action Codes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeexampleFHIR Device Types
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorProcedureIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorProcedureIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
pro-1errorProcedureReason not done is only permitted if notDone indicator is true
: notDoneReason.empty() or notDone = true

This structure is derived from Procedure

Summary

Mandatory: 7 elements(14 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Procedure.extension.valueCodeableConcept.coding
  • The element 1 is sliced based on the value of Procedure.category.coding
  • The element 1 is sliced based on the value of Procedure.code.coding

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure Procedure
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... legalStatus 0..2 (Complex) LegalStatus
URL: http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus
.... valueCodeableConcept:valueCodeableConcept 1..1 CodeableConcept LegalStatus
Binding: JuridischeStatusCodelijst (extensible)
..... coding 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
... legallyCapable 0..1 (Complex) LegallyCapable
URL: http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-LegallyCapable
.... extension:LegallyCapableIndicator 1..1 Extension LegallyCapableIndicator
.... extension:LegallyCapableComment 0..1 Extension Extension
.... valueCodeableConcept:valueCodeableConcept 1..1 CodeableConcept Permission
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
...... coding:ArgusPermissionCode 0..1 Coding Code defined by a terminology system
Binding: ArgusInstemmingCodelijst (extensible): ArgusInstemmingCodelijst

....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
...... coding:permissionCode 0..1 Coding Code defined by a terminology system
Binding: ToestemmingCodelijst (extensible): ToestemmingCodelijst

....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
... identifier 0..* Identifier External Identifiers for this procedure
... category 1..1 CodeableConcept Classification of the procedure
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:freedomRestrictingMeasuresCode 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 225214000
...... display 0..1 string Representation defined by the system
... code 1..1 CodeableConcept Identification of the procedure
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:typeOfInterventionCode 0..1 Coding Code defined by a terminology system
Binding: SoortInterventieCodelijst (extensible): TypeOfInterventionCodelist

...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
..... coding:argusTypeOfInterventionCode 0..1 Coding Code defined by a terminology system
Binding: ArgusInterventieCodelijst (extensible): ArgusTypeOfInterventionCodelist

...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
... subject 1..1 Reference(Group | nl-core-patient) Who the procedure was performed on
... performedPeriod:performedPeriod 0..1 Period Date/Period the procedure was performed
.... start 0..1 dateTime StartEpisode
.... end 0..1 dateTime EndOfEpisode

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.extension:legalStatus.valueCodeableConcept:valueCodeableConceptextensibleJuridischeStatusCodelijst
Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding:ArgusPermissionCodeextensibleArgusInstemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5--20171231000000
from this IG
Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding:permissionCodeextensibleToestemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1--20171231000000
from this IG
Procedure.code.coding:typeOfInterventionCodeextensibleSoortInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3--20171231000000
from this IG
Procedure.code.coding:argusTypeOfInterventionCodeextensibleArgusInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4--20171231000000
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure C 0..* Procedure Procedure
pro-1: Reason not done is only permitted if notDone indicator is true
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... legalStatus 0..2 (Complex) LegalStatus
URL: http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus"
.... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 1..1 CodeableConcept LegalStatus
Binding: JuridischeStatusCodelijst (extensible)
...... coding Σ 1..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:LegallyCapableIndicator 1..1 Extension LegallyCapableIndicator
..... url 1..1 uri "LegallyCapableIndicator"
..... Slices for value[x] 0..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean 0..1 boolean LegallyCapable
.... extension:LegallyCapableComment 0..1 Extension Extension
..... url 1..1 uri "LegallyCapableComment"
..... Slices for value[x] 0..1 string Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueString 0..1 string LegallyCapableComment
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-LegallyCapable"
... permission 0..1 (Complex) Permission
URL: http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-Permission
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-Permission"
.... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 1..1 CodeableConcept Permission
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:ArgusPermissionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ArgusInstemmingCodelijst (extensible): ArgusInstemmingCodelijst


........ system Σ 1..1 uri Identity of the terminology system
........ code Σ 1..1 code Symbol in syntax defined by the system
....... coding:permissionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ToestemmingCodelijst (extensible): ToestemmingCodelijst


........ system Σ 1..1 uri Identity of the terminology system
........ code Σ 1..1 code Symbol in syntax defined by the system
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this procedure
... status ?!Σ 1..1 code preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... notDone ?!Σ 0..1 boolean True if procedure was not performed as scheduled
... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.

.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:freedomRestrictingMeasuresCode Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 225214000
...... display Σ 0..1 string Representation defined by the system
... code Σ 1..1 CodeableConcept Identification of the procedure
Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .

.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:typeOfInterventionCode Σ 0..1 Coding Code defined by a terminology system
Binding: SoortInterventieCodelijst (extensible): TypeOfInterventionCodelist


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:argusTypeOfInterventionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ArgusInterventieCodelijst (extensible): ArgusTypeOfInterventionCodelist


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
... subject Σ 1..1 Reference(Group | nl-core-patient) Who the procedure was performed on
... Slices for performed[x] Σ 0..1 Period Date/Period the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod Σ 0..1 Period Date/Period the procedure was performed

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.extension:legalStatus.value[x]:valueCodeableConceptextensibleJuridischeStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000
from this IG
Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCodeextensibleArgusInstemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5--20171231000000
from this IG
Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCodeextensibleToestemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1--20171231000000
from this IG
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status
from the FHIR Standard
Procedure.categoryexampleProcedure Category Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedure Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:typeOfInterventionCodeextensibleSoortInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3--20171231000000
from this IG
Procedure.code.coding:argusTypeOfInterventionCodeextensibleArgusInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4--20171231000000
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorProcedureIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorProcedureIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
pro-1errorProcedureReason not done is only permitted if notDone indicator is true
: notDoneReason.empty() or notDone = true

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure C 0..* Procedure Procedure
pro-1: Reason not done is only permitted if notDone indicator is true
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: Common Languages (extensible): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... legalStatus 0..2 (Complex) LegalStatus
URL: http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus"
.... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 1..1 CodeableConcept LegalStatus
Binding: JuridischeStatusCodelijst (extensible)
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
....... id 0..1 string xml:id (or equivalent in JSON)
....... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
... legallyCapable 0..1 (Complex) LegallyCapable
URL: http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-LegallyCapable
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:LegallyCapableIndicator 1..1 Extension LegallyCapableIndicator
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "LegallyCapableIndicator"
..... Slices for value[x] 0..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean 0..1 boolean LegallyCapable
.... extension:LegallyCapableComment 0..1 Extension Extension
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "LegallyCapableComment"
..... Slices for value[x] 0..1 string Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueString 0..1 string LegallyCapableComment
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-LegallyCapable"
... permission 0..1 (Complex) Permission
URL: http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-Permission
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-Permission"
.... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 1..1 CodeableConcept Permission
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:ArgusPermissionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ArgusInstemmingCodelijst (extensible): ArgusInstemmingCodelijst


........ id 0..1 string xml:id (or equivalent in JSON)
........ extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:permissionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ToestemmingCodelijst (extensible): ToestemmingCodelijst


........ id 0..1 string xml:id (or equivalent in JSON)
........ extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this procedure
... definition Σ 0..* Reference(PlanDefinition | ActivityDefinition | HealthcareService) Instantiates protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ProcedureRequest | ReferralRequest) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!Σ 1..1 code preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... notDone ?!Σ 0..1 boolean True if procedure was not performed as scheduled
... notDoneReason ΣC 0..1 CodeableConcept Reason procedure was not performed
Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.

.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:freedomRestrictingMeasuresCode Σ 1..1 Coding Code defined by a terminology system
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 225214000
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Identification of the procedure
Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .

.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:typeOfInterventionCode Σ 0..1 Coding Code defined by a terminology system
Binding: SoortInterventieCodelijst (extensible): TypeOfInterventionCodelist


...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:argusTypeOfInterventionCode Σ 0..1 Coding Code defined by a terminology system
Binding: ArgusInterventieCodelijst (extensible): ArgusTypeOfInterventionCodelist


...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | nl-core-patient) Who the procedure was performed on
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter or episode associated with the procedure
... Slices for performed[x] Σ 0..1 Period Date/Period the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod Σ 0..1 Period Date/Period the procedure was performed
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime StartEpisode
..... end ΣC 0..1 dateTime EndOfEpisode
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... role Σ 0..1 CodeableConcept The role the actor was in
Binding: Procedure Performer Role Codes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ 1..1 Reference(Practitioner | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... reasonCode Σ 0..* CodeableConcept Coded reason procedure performed
Binding: Procedure Reason Codes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ 0..* Reference(Condition | Observation) Condition that is the reason the procedure performed
... bodySite Σ 0..* CodeableConcept Target body sites
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.


... outcome Σ 0..1 CodeableConcept The result of procedure
Binding: Procedure Outcome Codes (SNOMED CT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... report 0..* Reference(DiagnosticReport) Any report resulting from the procedure
... complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/Diagnosis Codes (example): Codes describing complications that resulted from a procedure.


... complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
... followUp 0..* CodeableConcept Instructions for follow up
Binding: Procedure Follow up Codes (SNOMED CT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..* Annotation Additional information about the procedure
... focalDevice 0..* BackboneElement Device changed in procedure
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... action 0..1 CodeableConcept Kind of change to device
Binding: Procedure Device Action Codes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1 Reference(Device) Device that was changed
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIR Device Types (example): Codes describing items used during a procedure



doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Procedure.extension:legalStatus.value[x]:valueCodeableConceptextensibleJuridischeStatusCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000
from this IG
Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCodeextensibleArgusInstemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5--20171231000000
from this IG
Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCodeextensibleToestemmingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1--20171231000000
from this IG
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status
from the FHIR Standard
Procedure.notDoneReasonexampleProcedure Not Performed Reason (SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryexampleProcedure Category Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedure Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:typeOfInterventionCodeextensibleSoortInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3--20171231000000
from this IG
Procedure.code.coding:argusTypeOfInterventionCodeextensibleArgusInterventieCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4--20171231000000
from this IG
Procedure.performer.roleexampleProcedure Performer Role Codes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeexampleProcedure Reason Codes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteexampleSNOMED CT Body Structures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeexampleProcedure Outcome Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationexampleCondition/Problem/Diagnosis Codes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpexampleProcedure Follow up Codes (SNOMED CT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedure Device Action Codes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeexampleFHIR Device Types
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorProcedureIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorProcedureIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
pro-1errorProcedureReason not done is only permitted if notDone indicator is true
: notDoneReason.empty() or notDone = true

This structure is derived from Procedure

Summary

Mandatory: 7 elements(14 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Procedure.extension.valueCodeableConcept.coding
  • The element 1 is sliced based on the value of Procedure.category.coding
  • The element 1 is sliced based on the value of Procedure.code.coding

 

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